The Effectiveness of Seclusion

Paper Summary:

Seclusion is an intervention widely used and has a long history within psychiatric care. The paper shows that literature over the past ten years suggests seclusion is effective in control of violent/aggressive behaviors. However, the concept of seclusion has been too often interchanged with the concept of solitary confinement, as is the rationale for initiation of seclusion and this would lead to questioning the intended outcome for the patient. This paper reviews the literature in relation to the use of seclusion and asks the question: Is seclusion used as a therapeutic nursing intervention? For the purpose of this paper, the literature reviewed focuses on primary research around the subject of seclusion as an intervention with the patients and nursing staff's perceptions being explored.

From the Paper:

"Within mental health nursing practice there are routines and responses which require ongoing critique and review. With decreasing length of admission and increased acuity, today the challenge for the nurse is to maintain the therapeutic milieu while maintaining the safety of patients and staff. The rights of the patient to receive treatment appropriate their needs is involved in this balance and interventions chosen by staff are reflected directly in the outcomes for the patient."

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